Microvascular free-flaps have changed reconstructive surgery. For patients undergoing maxillomandibular resections, free-flap surgery, especially use of the osseocutaneous fibula free-flap (FFF) has dramatically altered the ability to provide patients with…
Facial paralysis severely impacts a person’s ability to interact with the world. Advances in microsurgery, especially free neurotized muscle transfers, have greatly improved reanimation outcomes. The gracilis free muscle transfer,…
Free tissue transfer is a very effective reconstructive technique for challenging defects of the head and neck and in many cases the gold standard for congenital facial paralyses and composite…
This article describes the background and importance of scalp reconstruction. The relevant anatomy and neurovasculature will be discussed. Finally, the entire reconstructive ladder will be examined in its relation to…
Donor site morbidity has become a major focus in free tissue transfer as flap success rates have approached 98%. Emphasis is placed on minimizing the morbidity and optimizing cosmetic and…
Enhanced recovery after surgery (ERAS) protocols facilitates a standardized patient care regimen with a goal of reducing the metabolic stress of surgery. Adapted to head and neck free flap reconstructive…
The complexity of the midface structure and its importance to a multitude of functions present the reconstructive surgeon with unique challenges. The midface is an area that is crucial both…
Reconstruction of the oropharynx plays a critical role in preserving quality of life after surgical resection of oropharyngeal carcinoma. Free tissue is one of several reconstructive options, which can closely…
Microvascular free tissue transfer in head and neck surgery has evolved through technological advancements, focusing on enhancing surgical outcomes and reducing complications. The strategic process involves preoperative planning for perforator…
This article aims to provide an update on techniques related to head and neck reconstruction using microvascular free tissue transfer, focusing on strategies for donor vessel selection in the vessel…
